How Piles are treated | vitthal piles center | pune

How Piles are treated?



In most of the cases, piles may resolve on their own. Timely treatments can help in reducing the discomfort significantly. Dietary and lifestyle changes can help in reducing pain and irritation. Straining on the toilet needs to be avoided to reduce the piles pain. Methods for treating the piles are described below.

Treating piles with medicaments:

Over-the-counter topical medications, such as ointments, creams as well as suppositories are recommended for piles pain relief. These are no-prescription drugs. Self medication is not recommended in severe cases of piles where further treatments are required.

Corticosteroid creams which contain steroid can be used for treating inflammation around the anus area. Since these creams contain steroids, prolong use is not recommended as it can enhance the irritation. Painkillers such as acetaminophen are used for pain-relief.

In case of excessive bleeding in piles, use of Non-steroidal anti-inflammatory drugs (NSAIDS) need to be avoided as they may worsen bleeding. Laxatives are recommended to get relief from the constipation which is a root cause of piles most of the times. They help in emptying of bowels.

Banding:

The process of banding involves tightening the piles or hemorrhoids with the help of elastic band to cut off blood supply. It is expected that hemorrhoids fall off after this process within a week. This is a day's process and no anesthetic is required. Patients can get back to work the next day after the banding process. Some pain and discomfort can be felt after the process which can be reduced with use of painkillers.

When hemorrhoids fall off, patients may not realize it as they are supposed to pass out of the body after going to the toilet. Presence of mucus discharge within one week period after the banding process indicates that the piles or hemorrhoid have fallen off.

Sclerotherapy:

Sclerothearpy is an alternative treatment used to cure hemorrhoids. A chemical solution is injected into the blood vessels during this process in the back passage of the patient. This aids in relieving pain by making the nerves numb from the site of action, i.e., back passage. The size of piles gets reduced after about four to six weeks from this treatment. Heavy exercise is not recommended post treatment. One can return back to routine activities soon after the treatment.

Electrotherapy:

This method is used to treat smaller sized piles and is also known as electrocoagulation. A device called proctoscope is used during Electrotherapy. A proctoscope is inserted inside the anus for confirming the location of piles or hemorrhoids. An electric current is passed by the specialist to the piles using proper procedure with the aid of controls attached to a metal probe placed at the base of piles. This treatment can be carried out on an outpatient basis with low electric current. A higher dose is given when anesthesia or spinal anesthesia is used. Electrocoagulation process can be somewhat painful but the pain does not last for long time. Rectal bleeding may occur as a side effect of this method for short period. Sometimes it can be used as an alternative to surgical methods.

Stapled hemorrhoidopexy:

This method involves cutting a circular section of the anal lining canal above the piles with the aid of a circular stapling gun. This helps in pulling the piles back up the anal canal. This process also reduces blood supply to the piles which results in their shrinkage. Since the cutting process takes place above the piles, it is less painful.

Surgical treatments:

Piles are treated with surgical methods when their severity is high. Surgery is recommended for piles formed below the dentate line. Different types of surgeries are carried out which involve removal of piles and can help the patient get rid of pain and discomfort.

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